Individual provider Active NPI

Wylan Wade Rosser, NP-C

  • Adult Health Nurse Practitioner
  • Alvin, TX
National Provider Identifier
1679951842
Registry record updated May 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP127821 Issued in TX
Practice address
502 Herring St
Alvin, TX 77511-3321
Phone
(281) 685-5234
NPI assigned
May 8, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP127821 TX Primary
Gerontology Nurse Practitioner 363LG0600X AP127821 TX

Addresses

Primary practice location

502 Herring St
Alvin, TX 77511-3321

Mailing address

502 Herring St
Alvin, TX 77511-3321
Phone (281) 685-5234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813010799 TX Practitioner - Nurse Practitioner 5597070961 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Hospitalist Associates, LLCGroup PAC ID 6204927122, 39 clinicians
Velasco Inpatient Services PLLCGroup PAC ID 1153508551, 14 clinicians

Practice addresses (Care Compare)

104 7TH St
Bay City, TX 77414-4853
Phone (979) 241-3315

132 E Hospital Dr
Angleton, TX 77515-4112
Phone (954) 939-5000

506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441

Hospital & facility affiliations

  • Matagorda Regional Medical Center Hospital, Bay City, TX, CCN 450465
  • University of Texas Medical Branch Galveston Hospital, Galveston, TX, CCN 450018
  • Sweeny Community Hospital Hospital, Sweeny, TX, CCN 451311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP127821TXMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Velasco Inpatient Services PLLC CurrentSince May 1, 2023 Accepting new patients
Utmb Faculty Group Practice CurrentSince Jun 9, 2022 Accepting new patients
Victoria Hospitalist Associates, LLC CurrentSince Apr 25, 2023 Accepting new patients
Letsoumd, PLLC CurrentSince Aug 15, 2021 Accepting new patients

Locations

132 E Hospital Dr
Angleton, TX 77515
Phone (210) 629-3866

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000

5010 Crenshaw Rd
Ste 100
Pasadena, TX 77505
Phone (713) 244-6359

506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431043200000",
    "number": "1679951842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 HERRING ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113321",
            "telephone_number": "281-685-5234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 HERRING ST",
            "city": "ALVIN",
            "state": "TX",
            "postal_code": "775113321",
            "telephone_number": "281-685-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSER",
        "first_name": "WYLAN",
        "middle_name": "WADE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "AP127821",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP127821",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alvin, TX

Sources for this page

Verify at the official NPI Registry.